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Questions 158

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Question 1 of 5

When performing Leopold maneuvers on a client at 32 weeks gestation, the nurse would expect to find:

Correct Answer: D

Rationale: At 32 weeks gestation, the fetus is active, and Leopold maneuvers typically detect strong, active fetal movement as the fetus grows and develops.

Question 2 of 5

The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?

Correct Answer: B

Rationale: Adding baby oil to bath water moisturizes skin, relieving pruritus in hepatitis. Warm showers (
A) and hot rinses (
D) may worsen itching, and powder (
C) can dry skin further.

Question 3 of 5

The nurse is caring for a client with myasthenia gravis who is having trouble breathing. The nurse would encourage which of the following positions for maximal lung expansion?

Correct Answer: D

Rationale: Sitting or high Fowler’s position maximizes lung expansion by reducing diaphragm pressure in myasthenia gravis. Supine (
A), side-lying (
B), and prone (
C) positions restrict breathing.

Question 4 of 5

A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurse that psychiatrists often use categories of medications and that it is important that she recall that some categories of medications have synonyms. Another name used to describe minor tranquilizers is which of the following?

Correct Answer: C

Rationale: Antianxiety medications are also known as minor tranquilizers.

Question 5 of 5

A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. It is important for the nurse to find out if he has a(n):

Correct Answer: C

Rationale: Iodine is not used as a contrast medium for MRI. It is important to inquire about allergy to seafood if the client is to have an arteriogram or enhanced computer tomography. MRI is safe if seizures are under control. It is more important to inquire about movable metal implants. Clients with movable metal implants such as shrapnel or aneurysm clips or clients with permanent pacemakers or implanted pumps can be traumatized during an MRI. Nonmovable metal prostheses or hardware will not cause trauma during an MRI.

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